Certified Medical-Surgical Registered Nurse Practice Test

A 50-year-old male with a diagnosis of leukemia is responding poorly to treatment. He is tearful and trying to express his feelings, but he is having difficulty. The nurse should first:

1. Tell him that she will leave for now but she will be back

2. Offer to call pastoral care

3. Ask if he would like her to sit with him while he collects his thoughts

4. Tell him that she can understand how he is feeling

The correct answer is: Ask if he would like her to sit with him while he collects his thoughts

In this scenario, the most appropriate initial action for the nurse to take is to ask if the patient would like her to sit with him while he collects his thoughts (Option C). This response demonstrates empathy, active listening, and support for the patient while allowing him the space he needs to communicate his feelings. It is essential for the nurse to create a safe and supportive environment for the patient to express his emotions, especially during such a challenging time with a poor response to treatment. While options A, B, and D may also reflect elements of support or understanding, they do not address the immediate need of the patient to have someone present while he tries to express his feelings. It is crucial for the nurse to prioritize the patient's emotional needs and provide appropriate support in a compassionate manner.